The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2014-6-9 SPRINGFIELD 225 Fifth St ti . . CITY OF SPRINGFIELD Springfield,OR 97477 . t Phone: 541-726-3753 .� (`` OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01193 www.springfield-or,goy permitcenter@springrield-or.gov PROJECT STATUS: Issued ISSUED: 06/09/2014 EXPIRES: 07/09/2014 STATUS DATE: 06/09/2014 APPLIED: 06/02/2014 SITE ADDRESS: 2147 MAIN ST,Springfield, OR 97477 SCOPE: Banner,Portable Sign ASSESOR'S PARCEL NO: 1703364203500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temp Sign-Banner OWNER: MY 401K LLC Phone Number: ADDRESS: 1417 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ll - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Sign Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 6972 Banner Removal Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. • By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time,that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. '7S �9,/ 6/?/i/ Owner r Contractor Sign ure Date r . Springfield Building Permit 6/9/2014 1:25:27PM Page 1 of 1 ,p� $PRMF4GFEEt6 .s.:._..., 1 nriesaairgAtatir 2.a 'Cn ITi''O S G IELD,,mmtEGQN S r '—}, ,- s—"s,.7...-,, 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)72G-3753 •FAX: (541)726-3689 1- 's. k, "" Zd City Job Number S/7 - ✓ II I °�' 2 �� S S�c �o R P_ ► _ OIL '',_,,,r-'4-4 Job Location J _ ., t Assessors Map 17633 6 y Z Tax Lot O S S-6 0 1 Business Name SuQt,ir hwp 0--;t ,r; ?Sut AtCr.dev.t,\ A) Business Contact Name M ke, Ott.Jr/LA Phone sq / CPSq 29117 ca n •,V4 Owner of Property AOgPr Tom-/wl y/ tip/14 LL C— l5--(— Address 14 7 & F.9a144. -> 91-- Phone V City 5(H) State GIL Zip 9 7'177 7 a Contractor/Installer Ct✓rr� Address Phone _i City State Zip Construction Contractors License# Expires 0 11 —,— P 57P s/�1 Description • ! Date of Installation U7//F/t/T Date of Removal 7 I /1(P^i Permit Fee: $225.00 includin 0.00 Deposit a d applicable fees. t By signature, I state and agree that I have careful y completed this application and hereby certify that r, all information herein is true and correct. I further agree and understand that individual banners and _'-"( portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand i that temporary signs shall be removed within 30 days from the date listed above. If the temporary icon( sign(s) are not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can only be issued four (4) times per calendar year per development , area. I also agree to call the inspection line at(541)-726-3769 by the end of the 30th day to request an k`"4( inspection to verify the removal of the temporary sign(s). This inspection will begin the process to j return the$100.00 deposit if the temp rar sign(s) have been removed. 0 Property Owner Signature Date 4t For Office �/Use / -f Date of Application 6r ,Y Job # 1/F0 f( 21 Receipt# ` Issued By �� Amount Collected 77 c Shared Drive(T:Puildiag Forms/Temporary Sign Permit CSD 3-12 doe SPRINGFIELD • CITY OF SPRINGFIELD kc--1/4. 225 Fikh St. -�� TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S PR2014-01193 www.springfield-or.gov 2147 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2014001250 RECORD NO: 811-SPR2014-01193 DATE:06/09/2014 (DESCRIPTION _ _ - _ __-- _, _ _ _ -! ___ -ACCOUNT CODEITRANS CODE. AMOUNT DUE Admin fee(10%of applicable fees) 224-00000-426605 1098 20.00 Banner, Portable 224-00000-425602 1065 100.00 Banner, Portable Deposit 821-00000-215500 1049 100.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.00 TOTAL DUE: 225.00 _,PAYMENT TYPE::w,PAYOR_„_cnsltlER;oeowLSrav_ _, --‘—.COMMENTS_____ _. _ ___-_- _- AMOUNT,PAIDN Credit Card michael w dewltt jr refund deposit to: 225.00 75169b michael dewitt jr 1524 a street springfield or 97477 TOTAL PAID: 225.00